American Pie: Adam is often stopped on the street by people who mistake him for the queen of pop

But his extreme measures to replicate his idol and his almost lifelong obsession with her have led to some problems at home.

His mother Annette Guerra, who inadvertently introduced him to Madonna, is now regretting ever purchasing her album.

She said: “When he first became obsessed with her I was in denial - I didn’t want to believe it.

“I really dislike her because he holds in her high esteem – it’s like a religion to him.

“I’m always worried about him when he has a procedure done. When he first started doing it he was going to some pretty shady places where I didn’t think they were capable or qualified to do what they were doing.”